Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC LEUKOMED SORBACT DSG 2” X 2”
Buda, TX
See all hospitals reporting HCPCS A6204 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $98 is 982% above the median hospital's median price ($9), higher than 94% of the 761 hospitals reporting HCPCS A6204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 8 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 9 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 11 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 13 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 14 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 15 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 16 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
Last updated: Jun 13, 2026
See Sterile composite wound dressing, 16 to 48 sq. in. pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.